| NPI | 1124213988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN MIYASHITA Owner 818-343-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G79761) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2008-06-12 |